Abstract
Adrenaline and noradrenaline exert their effects via specific adrenergic
receptors. Of the nine known subtypes of these receptors, the beta
1-subtype mediates an increase in cardiac contractility, while the
beta 2-subtype is responsible for vasodilatation. These receptors
are not just simple signal transducers but components of a complex
and highly regulated signalling machinery. A loss of sensitivity
of this machinery may be induced by exogenous as well as endogenous
stimuli (= desensitisation). Desensitisation of cardiac beta-adrenergic
receptors may contribute to contractile dysfunction in chronic heart
failure.
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